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Human Reproduction, Vol 12, 1706-1708, Copyright © 1997 by Oxford University Press

ARTICLES

Conservative management of azoospermia following steroid abuse

MR Gazvani, W Buckett, MJ Luckas, IA Aird, LJ Hipkin and DI Lewis-Jones
Reproductive Medicine Unit, Liverpool Women's Hospital, UK.

As well as athletes and competitive body builders, recreational body builders attending gymnasia are known to abuse anabolic steroids, using doses from 10- to 40-fold above physiological levels. Androgenic steroids induce hypogonadotrophic hypogonadism with associated azoospermia, leading to infertility. Little literature exists on the treatment of steroid-induced azoospermia following the cessation of abuse. We present four cases of steroid-induced azoospermia, its conservative management and eventual return of normal semen density.
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